Organization Active NPI

High Drive Adult Family Home

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1124563697
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
752761 Issued in WA
Legal business name
HIGH DRIVE ADULT FAMILY HOME
Practice address
119 E High Dr
Spokane, WA 99203-2756
Phone
(774) 262-3858
Fax
(509) 747-2155
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lucia Ngatia
Title
Provider
Phone
(774) 262-3858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 752761 WA Primary

Addresses

Primary practice location

119 E High Dr
Spokane, WA 99203-2756

Mailing address

119 E High Dr
Spokane, WA 99203-2756
Phone (509) 263-5851

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1124563697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E HIGH DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032756",
            "telephone_number": "509-263-5851",
            "fax_number": "509-747-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E HIGH DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032756",
            "telephone_number": "774-262-3858",
            "fax_number": "509-747-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DRIVE ADULT FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "NGATIA",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "774-262-3858"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "752761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.